Individual
MISS GRACE ELIZABETH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
530 NW 23RD AVE STE 111, PORTLAND, OR 97210-3287
(714) 269-4273
Mailing address
5324 NE 32ND PL, PORTLAND, OR 97211-6836
(714) 269-4273
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC160462
OR
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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